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An Assessment of the Transition in Health Care Provision across the Big 5 Western European Countries 

An Assessment of the Transition in Health Care Provision across the Big 5 Western European Countries 

  • January 2016
  • 104 pages
  • ID: 3562176

Summary

Table of Contents

An Assessment of the Transition in Health Care Provision across the Big 5 Western European Countries : Assessing Health Care Provision in an Era Marked by Changing Patient Demographics and Fiscal Austerity

Europe’s Big 5 health systems are in transition. Rapidly ageing populations and budget cuts have forced governments to place greater emphasis on the efficiency of care provision. As part of this efficiency drive, the landscape of care provision in these countries will continue to evolve to meet the dual challenges of limited budgets and changing patient demographics. This research service will assess the evolution of these health systems to understand if changes in care provision reflect sound policy-making or are a knee-jerk response to changing external factors.

Key Findings

Efficiency

- Although efficiency is the buzz word, it has not become the key driver in health care systems transition as yet; however, this trend is likely to change over the next few years.
- IT has to move from care settings to cloud-based platforms to support care continuum. By 2020, the adoption of IT to support this objective will reach its peak.
- The solutions proposed by national governments are short-term or issue-driven and do not represent a holistic approach in terms of transforming care provision.

Service Provision

The primary care segment will not be a profitable area of focus for device/equipment manufacturers until 2025.
- With a shortage of GPs across countries, virtualisation should be the logical first step. Care continuum should follow suit; however, most governments have not proposed this solution.
- The discussion about the shift from hospitals to primary care and LTC/HC is still on paper and has not become a reality. This is because such a shift requires regulatory oversight and, most importantly, fund transfers, which have not happened.
- The establishment of a true LTC/HC system is yet to happen – the current set up is largely focussed on elderly care; however, a move to include chronic disease care is also required.

Private Sector
- At present, private insurance and private hospitals are of minimal significance in the care system in transition. Notable exceptions include the privatisation of hospitals in Germany and the compulsory employer private health insurance (PHI) in France.
- The impact of the private sector on health care will be felt post-2020, with better co-ordination between public and private stakeholders.




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